Evergreen Medical Panel
Evergreen Medical Panel is a Health Maintenance Organization in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2007.
- Licensed in
- WA
- In the registry since
- 2007
Practice location Address checks out
2411 S 19th StTacoma, WA 98405-2954
Phone: (253) 572-4171
Fax: (253) 572-4291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence 0700013011 (WA) |
|---|
Record details
| NPI number | 1700074275 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessy Ang — Psychiaties · (253) 576-4171 |
| NPI enumerated | October 10, 2007 |
| Last updated in NPPES | October 11, 2007 |
| Mailing address | 2411 S 19th St, Tacoma, WA 98405-2954 |
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-
Pacific Lutheran Univeristy Student Health Center
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